An example.
I was doing the last dive on my Reef Check California training in Monterey. We were surveying a section of giant kelp forest. My buddy ran low on air, so we ascended to a safety stop, where he ran out. I immediately gave him my primary (on a standard hose) and went to my integrated octo.
At that point, we're pretty much locked into being face to face at a short distance. Hence, our only option was to ascend straight up. Normally, that wouldn't be much of an issue for open water diving. However, we were in the middle of a dense kelp forest.
Now, we're at the surface, a fair distance from the boat. I've got plenty of air, but my buddy is totally out. As I'm not willing to abandon him or to solo back to the boat, we can't descend and simply swim to the boat. Nope. We both have a long, pain-in-the-ass and tiring kelp crawl back to the boat.
By my next dive, I had a BP/W with a 7' foot hose.
Were that situation to re-occur, I would donate my primary, calm the OOA diver and then we'd both swim back to the boat, under the kelp canopy.
Of course, the long hose was originally developed by cave explorers who had to swim singly to exit narrow caves and couldn't do so while sharing air with a conventional rig. However, lots of us open water divers have virtual overheads, such as the above-mentioned kelp forest or an area frequented by boats.
Hope this helps.